Provider Demographics
NPI:1427323898
Name:AALFS, KARA MICHELLE (APN)
Entity type:Individual
Prefix:MRS
First Name:KARA
Middle Name:MICHELLE
Last Name:AALFS
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6N910 GILMORE DR
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:IL
Mailing Address - Zip Code:60175-8314
Mailing Address - Country:US
Mailing Address - Phone:630-513-9755
Mailing Address - Fax:
Practice Address - Street 1:6N910 GILMORE DR
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:IL
Practice Address - Zip Code:60175-8314
Practice Address - Country:US
Practice Address - Phone:630-513-9755
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-18
Last Update Date:2012-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209006141364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health